Individual
CANDICE PAIGE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 11TH AVE STE L46, GREELEY, CO 80631-3171
(970) 888-3550
Mailing address
PO BOX 336892, GREELEY, CO 80633-0615
(720) 507-6827
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
04/08/2021
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